MONTICELLO PODIATRY LLC (NPI# 1154626661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154626661 |
| Entity Type | Organization |
| Organization Name | MONTICELLO PODIATRY LLC |
| Practice Address |
101 W Broadway St Monticello IN 47960-2110 |
| Mailing Address |
101 Broadway Monticello IN 47960 |
| Practice Telephone | 7654202850 |
| Mailing Telephone | 7654202850 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | DR. MURTUZA PEERBHAI (PRINCIPAL) |
| Authorized Official Telephone | 7654202850 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
#07001110A | IN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780048108 | Monticello Podiatry LLC | Podiatrist | 101 W Broadway St, Monticello, IN 47960-2110 | 2016-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MONTICELLO PODIATRY LLC | 1305 Palmer Drive Apt 311, West Lafayette, IN 47906 |
| Street Address |
101 W BROADWAY ST |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740316124 | Murtuza A. Peerbhai | Podiatrist | 101 W Broadway St, Apartment 311, Monticello, IN 47960-2110 | 2007-02-27 |
| 1780048108 | Monticello Podiatry LLC | Podiatrist | 101 W Broadway St, Monticello, IN 47960-2110 | 2016-04-12 |
| 1649453085 | Ellsworth P Grubbs | Durable Medical Equipment & Medical Supplies | 101 W Broadway St, Monticello, MN 55362-9352 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1588075949 | Theodore Eckerle | Social Worker | 920 West Executive Court, Monticello, IN 47960 | 2014-05-19 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| Find all providers in zip 47960 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1558600874 | Centracare Health System-nr LLC | Clinic/Center | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2013-02-06 |
| 1043444805 | Ihc Health Services Inc | Clinic/Center | 380 W 100 N, Monticello, UT 84535-0308 | 2009-05-08 |
| 1013103050 | Stellis Health, Pa | Clinic/Center | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2007-09-24 |
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| 1407179559 | Forensic Nursing Specialties, Inc | Clinic/Center | 2270 Lake Ave, Suite 201, Fort Wayne, IN 46805-5359 | 2010-03-03 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
Please comment or provide details below to improve the information on MONTICELLO PODIATRY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.